DR. CHARLES HOUSTON TEATERS (O.D.) – Optometrist, NPI 1053416040

DR. CHARLES HOUSTON TEATERS (O.D.) is a healthcare provider. based in Woodlawn, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 0618000913 (VA). The NPI Number for DR. CHARLES HOUSTON TEATERS (O.D.) is 1053416040

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES HOUSTON TEATERS (O.D.)
NPI
1053416040
Phone
(276) 236-0400
Address
2851 CARROLLTON PIKE
Enumeration Date
14 September 2006
Last Update Date
2 August 2011

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
5403821731
Graduation Year
1999 (27 years ago)
PAC ID
6305863663
Group Practice PAC ID
8729307822
Professional Enrollment ID
I20051026001187
Address ID
VA240730000CH442XXNWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

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Provider Addresses for DR. CHARLES HOUSTON TEATERS (O.D.)

  • 2851, Carrollton Pike, Browns Store, Carroll County, Virginia, 24381, United States

    SUITE A-1

    WOODLAWN, VA 243813668

    Phone: (276) 236-0400

    Fax: (276) 236-0400

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $3,042.

Total Amount is formed as General ($3,042) + Research ($0) + Ownership ($0) = $3,042.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Alcon Vision LLC ($2,111).

Total Amount

$3,042

General + Research + Ownership

Payments

42

Total payment records

General Amount

$3,042

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051026001187IOptometryVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens2,05719$0
92014Established patient complete exam of visual system198198$0
92012Established patient problem focused exam of visual system14194$0
92004New patient complete exam of visual system6868$0
92250Photography of the retina6160$0
View full utilization report →

Insurance plans in this area (ZIP 24381)

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Provider's Procedures

DR. CHARLES HOUSTON TEATERS (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYVA92012Eye and medical examination for diagnosis and treatment, established patient11295

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729307822View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YALBERTA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YNY
-VA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA

Reviews

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Frequently asked questions

What is the registry number for DR. CHARLES HOUSTON TEATERS (O.D.)?
The registry entry for DR. CHARLES HOUSTON TEATERS (O.D.) shows NPI 1053416040.
Should I treat DR. CHARLES HOUSTON TEATERS (O.D.) as an active provider?
Patients and plans typically see DR. CHARLES HOUSTON TEATERS (O.D.) as active in the national extract.
What does the directory say DR. CHARLES HOUSTON TEATERS (O.D.) does?
Insurance directories may phrase it differently, but here DR. CHARLES HOUSTON TEATERS (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. CHARLES HOUSTON TEATERS (O.D.) tied to Woodlawn, Virginia?
If you are local to Woodlawn, Virginia, DR. CHARLES HOUSTON TEATERS (O.D.) may be relevant to your search.
Why is information missing for DR. CHARLES HOUSTON TEATERS (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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